Dental Technology @ NYC Smile Design

Our skillful and talented execution combined with sincere effort and intelligent direction has placed NYC Smile Design in a position to be able to take advantage of the many advances in dentistry.

• Ezlase™
• Criticare Pulse Oximeter
• Nitrous Oxide
• Laser Bleaching
• Magnification Lenses (Loupes) & Zeon Illumination
• KaVo ELECTROtorqe TLC
• Diagnodent Laser
• Piezon Ultrasonics
• The Wand Anesthesia
• Mercury-Free Fillings
• Canon Eos 1 Ds Mark II
• Computerized Treatment Rooms
• Dexis Digital X-ray imaging
• Occlusease
• Planmeca Cone Beam
• K7 CMS (computerized mandibular scanner)
• Molekulz
• IQAir
• Crystal Air
• TRIOS 3Shape digital impression
• AcceleDent
• LiteTouch
• Picasso AMD Laser

Ezlase™

The 940nm ezlase™ soft tissue diode laser from BIOLASE.

The new 940 nm ezlase™ diode laser delivers the best clinical characteristics of 810 nm and 980 nm diode lasers in one state-of-the-art system.

The ezlase 940 Wavelength

Until recently, soft-tissue dental diode lasers used one of two wavelengths: 810 nm or 980 nm. The older wavelengths, 810nm and 980nm were selected by laser manufacturers because of their commercial availability and energy absorption characteristics in soft tissue.

An analysis of the wavelength absorption chart shows that the new 940 nm wavelength can provide great hemostasis during soft tissue procedures because of its position on the absorption peaks of Hb and HbO2 while being slightly off the absorption peak of H2O.

In addition, clinical use by experienced diode laser users are indicating that the new ComfortPulse™, pulse characteristics are more comfortable for patients. This research led BIOLASE Technology, to develop the ezlase™, the first dental laser to obtain clearance at this unique 940 nm wavelength.

Criticare Pulse Oximeter

Because your health and safety are always our first concern, for those patients who require monitoring due to health issues or for patients having sleep dentistry we use a unique and comfortable technology for pulse recognition, blood pressure readings and pulse oximetry. The monitor we use has the ability to spot check or continuously monitor critical parameters with audible and visual alarms that provide instant notification. Information can be printed and kept on file in a patient's chart.

Nitrous Oxide

Inhalation sedation using nitrous oxide has been proven to be a safe and effective drug for more than 150 years. Within 3-5 minutes the effects of sedation can be seen. Rapid and complete recovery occurs within minutes of nitrous oxide termination. The equipment we use is high quality and state of the art. Our machine allows us to give an exact amount of nitrous oxide needed to relax a patient, and can be given in incremental doses. The machine contains a pin-index and diameter-index safety system to ensure proper attachment and flow of gases to the patient.

Laser Bleaching

The zoom! in-office whitening system is a revolutionary tooth whitening procedure. We use the Light because it generates minimal heat, the usual source of discomfort with other in-office bleaching systems. It's safe, effective and very fast. In just over an hour, your teeth will be dramatically whiter. In many cases 6-9 shades lighter.

Zoom! Whitening is ideal for anyone looking for immediate results. The Zoom! Light activated gel was developed after years of research. It is a scientifically formulated pH balanced Hydrogen Peroxide that when activated by the Zoom! light, gently penetrates the teeth to remove deep stains and discolorations while the structure of the tooth is unchanged. Hydrogen peroxide has been safely used for many years in the treatment of gums and other oral soft tissue

Magnification Lenses (Loupes) & Zeon Illumination

Along with our desire to produce excellent dentistry comes the need to be able to see what we are doing more clearly. Without a doubt, the most important vision enhancement aid is a pair of high quality magnification loupes. When you see a magnified image of a tooth through a pair of loupes, your ability to render precision care rises tremendously. We believe magnification should be the standard of quality care. Orascoptic Research leads the way in its commitment to developing innovative magnification and illumination. In light of the new techniques being used in dentistry, a high level of precision is paramount. With the new prismatic magnification from Orascoptic 4.8X power with wide fields of view is possible. We find this to be indispensable in our office. Using a headlight is just another step beyond loupes. Headlights eliminate most shadows, since your head can never get between the source of the light and the tooth being illuminated.

KaVo ELECTROtorqe TLC

This technology provides fewer traumas to the tooth and its very quiet compared to conventional drills that use air turbines. Kavo Electrotorque simply makes precision in preparation easier to achieve. It provides outstanding tactile response and optimal control. This Kavo electric motor is far and above the finest hand piece we have ever used.

Diagnodent Laser

Among the newest technologies we have introduced in our office is a small laser instrument called the Diagnodent, which scans the teeth with harmless laser light searching for hidden cavities. Diagnodent helps us detect cavities at the earliest possible stage. Locating hidden decay before it destroys tooth structure is one of the biggest problems in dentistry.

Prior to widespread use of fluoride, decay of teeth was easily detected since it destroyed a big chunk of tooth. Fluoride has made tooth surfaces harder. However disease process can start through microscopic defects in hard surface enamel and readily spread into softer tooth structure beneath. This makes conventional means of detecting cavities with X-rays and probing with hand instruments simply unreliable. Diagnodent pen like probe simply glides over tooth surfaces, constantly checking for health of the tooth. A number scale and alarm signals for dental decay. This technology is completely safe and pain-free.

Piezon Ultrasonics

We use a state of the art ultrasonic teeth-cleaning instrument called the Piezon Master 400. This instrument is one of precision and quality, transferring ultrasonic energy in a pleasingly consistent and controlled manner for the removal of tarter and plaque. It allows us to deliver irrigant or antimicrobials at a warm soothing temperature for greater patient comfort. The bacteria in the loose plaque cannot resist the ultrasonic vibrations of 32,000 Hz. Therefore these disease-causing bacteria are swept up and eliminated in seconds. This instrument creates less heat and aerosol than conventional cavitron units do for greater patient comfort.

The Wand Anesthesia

It doesn't feel like a syringe. We know that some patients get more nervous than others at the mere site of a needle and syringe. That's why this office performs injections with a revolutionary system called the Wand, a computer controlled local anesthetic injection system. The microprocessor inside the Wand automatically ensures a steady flow rate regardless of tissue density. The flow of anesthetic into your tissue is the source of discomfort for most injections-not the needle. The Wand delivers anesthetic with an optimal, constant, slow flow to achieve a comfortable and virtually painless injection. The computer also provides a flow of anesthetic ahead of the needle, a pathway of anesthesia, so you hardly feel the needle at all.

Mercury-Free Fillings

Drs. Tabib and Mello have not used filling material containing mercury (commonly called amalgam or silver amalgam) since 1998. There are people who feel mercury can contribute to health problems. From a dental point of view, mercury fillings expand and contract with temperature changes (hot and cold liquids and foods). Over time, this constant expansion and contraction will cause teeth that are filled with this material to finally break. When preparing teeth to receive a restoration bonded (tooth colored) materials require fewer teeth to be removed than when preparing a tooth to receive an amalgam. Because of adhesive properties, a bonded restoration is able to retain the majority of a tooth's strength. Conversely, an amalgam restoration greatly weakens a tooth's strength.

Drs. Tabib and Mello are educated in the proper way to remove amalgam in a healthy way. All procedures are done under a rubber dam isolation, which creates an area to do the procedure similar to a surgical isolation. This prevents inhalation of the amalgam particles as they are being removed as well as prevents bacteria present in saliva from entering the cavity preparation.

Canon Eos 1 Ds Mark II

The success of restorations cases hinges on numerous factors. One of the main obstacles is communication with the ceramist. Relaying the desires of our patients to our ceramist can often be a difficult task. Communicating nuances of color,translucency,shape and micro anatomy of teeth can only be achieved with proper knowledge and superior photography skills. Digital photography with the best professional camera allows the next best thing to having the ceramist right there with us.  Instead of interpreting a shade map, the ceramist will have an exact representation of the colors, texture and anatomy.

An update to the tremendously popular EOS-1Ds, the EOS-1Ds Mark II is a must have in our office.  With a full frame 16.7 megapixel CMOS image sensor, combined with Canon's DIGIC II Image Processor, the EOS-1Ds Mark II has dramatically decreased startup and card-writing times in comparison to the EOS-1Ds.

These improvements are complemented by Canon's renowned build quality for reliability in even the most rugged conditions. EOS-1Ds Mark II is the most remarkable combination of resolution and speed in the history of digital SLRs. Features include:

• 16.7 Megapixel, Full Frame CMOS Sensor with DIGIC II Image Processor
• Fast and Responsive, EOS-1 Class Performance
• Improved Image Display
• Professional-level Image Software

Computerized Treatment Rooms

Our patients have realized many benefits since we computerized and networked our treatment rooms. Each treatment room is computerized and networked with each other. All intraoral and extraoral photography, DIFOTI images, patient records, written communication and clinical information can be shared between the Doctors and treatment areas instantly from anywhere in the office.

• Automatic reminders to patients when they have decided it's time to see us again.
• Daily submission of insurance forms so that reimbursement to our patients is much quicker.
• Immediate access to the Internet with our DSL hookup.
• E-mail to patients and to referring dentists about specific patient concerns.
• Document scanning and remarkable backup systems to insure against loss of patient information from fire, theft or vandalism.
• E-mail with the restoratives labs to achieve better cosmetic results for our patients.
• Patient education using real-life digital photographs.
• Processing of daily procedures, payments and insurance claims are done quicker and more efficiently.

Dexis Digital X-ray imaging

The latest advancement in dental technology uses a computer and low-radiation X-ray to produce X-ray images directly onto a computer screen! With sophisticated software, the computer-generated X-ray can reveal information not previously available from a conventional X-ray machine. X-rays taken by the Digital RGB X-Ray can be colorized, magnified and computer-enhanced to indicate things such as bone density! Although every patient can benefit from the 90% DECREASE in radiation exposure, the digital X-ray machine offers special benefits to dental implant patients.

With the "instant" development time of the computer and the ability to view an enlarged X-ray on a computer screen at the patients' chairside, Dr. Tabib has the ability to make sure the patient's nerves and sinuses are protected and the implants are properly seated by taking digital X-rays at various points during the procedure!

Added patient safety, more predictable treatment, much lower X-ray radiation, and instant feedback clearly make the digital X-ray machine the X-ray technology of the future.

Occlusease

For years, dental occlusion has been largely a matter of guesswork for dentists. Occlusease has developed technology, which provides data to evaluate the intricate inter-relationship of how teeth meet. In clinical situation it is extremely difficult to determine the order of tooth contact or the force contained within them. The T-scan III system occlusal analysis system quickly and precisely determines the amount of force generated and premature contact points for predictable occlusal control during adjustment procedure.

Benefits are:

• Improved Diagnosis
• Increased quality of care
• Decrease treatment time
• Reduces risk of implant failure and porcelain fracture

Planmeca Cone Beam

The design and operating principles of the Planmeca Cone Beam maxillofacial X-ray unit are based on the latest scientific research and clinical insight of the requirements of today's maxillofacial radiology. Planmeca Cone Beam combines several imaging modalities into one intelligent X-ray unit.

• Panoramic radiography for general diagnostics of the tooth arch and the jaw.
• Advanced panoramic radiography for specific diagnostics of the tooth arch, the jaw, maxillary sinuses and temporo-mandibular joints.
• Dental tomographic slices for detailed morphologic diagnostics of facial bones.
• Cephalometry for imaging of the skull.

Transtomography® is a new digital imaging system developed by Planmeca. Transtomography® uses multiple sweep method whereas the linear tomography uses one sweep. Transtomography® combines the translation movement with an oscillation movement where the center of the rotation moves over the region of intrest. The layer thickness can be adjusted like in film based linear tomography. Due to the developed imaging method, the image of the anatomies are truthful and information maximized.

Advanced TMJ programs provide multi-angle and multi-projection radiographs of the temporomandibular joints:

• Lateral-PA TMJ program
• Lateral multi-angle TMJ program
• PA multi-angle TMJ program

K7 CMS (computerized mandibular scanner)

Multiple sensors in an extremely light weight (four ounce) spectacle-like array, track the motion of a tiny magnet attached to the lower incisal gingiva with adhesive material. The configuration is totally non-invasive and, unlike clutches, does not interfere with patient function. The opposing sensors are wide apart permitting unobstructed access to the oral cavity for taking bite registrations and other clinical procedures, and the system is virtually immune from effects of slight head motion or nearby metallic or electronic interference. A patient education mode is included to simplify patient understanding and staff training.

These scans are invaluable three dimensional representation of mandibular rest, the relaxed physiologic path of closure, centric occlusion, habitual path of closure and protrusive guidance that aids the clinician in recording an optimal occlusal position

Molekulz

• Removes airborne particulate to 0.3 microns @ 99.99% efficiency
• Removes mercury vapor, BPA dust, airborne viruses
• Captures residue from wet grinding, mists, odors and vapors
• Completely recycles operatory air up to 12 times per hour
• HEPA Certified performance
• Activated charcoal filter for reduction of odors and vapors
• Illuminated status control panel
• Whisper quiet operation

IQAir

In our office, we are committed to not only transform our patient’s smiles, but to provide them with an environment that is clean and healthy. We believe that clean air is essential for better health. In our office we have installed a stand-alone IQAir purifier system that protecting our patients from harmful pollution particles. Our dental IQAir is just one more way to foster our commitment to always offer the best quality service to our patients. Our IQAir purifier helps to eliminate any bacteria, viruses, odors from disinfectants and office chemicals, mercury vapors and volatile compounds in the air.

Crystal Air

For over 34 years, Crystalmark Incorporated has developed and refined the air abrasion process for the aerospace, semiconductor and other high technology disciplines. We bring all that experience to bear in the dental profession. The highly evolved CrystalAir ™ system gives a higher level of control for a wider range of treatment scenarios. With experience in other extremely demanding industries allowed Crystal mark us to manufacture a system that is technologically superior and a greater value than that of the competition. The most important attribute is the modality's capacity that allows for painless, anesthetic-free treatment of most incipient to moderate cavity preparations. Air abrasion also eliminates the noise, heat, smell and vibration of the dental handpiece. Now you can enjoy more precise dentistry with more options than ever before. The air abrasion system combines a finely controlled high pressure air stream with a highly adjustable 27micron aluminum oxide powder flow. We have designed our system with the demanding clinician in mind.

TRIOS 3Shape

We have introduced the TRIOS 3Shape digital impression technique which eliminates messy impressioning techniques of the past.  No more trays to fit in the mouth and messy goopy material that can make you gag.  With this new digital scanning we can provide fast and accurate impressions that ultimately provides superior crowns and veneer restorations.

Here are some of the benefits of Trios 3Shape:

• High digital impression accuracy for high quality restoration fit
• Instant preparation and impression validation
• Reduced adjustment and grinding during seating
• Better experience
• Quick with no discomfort caused by impression materials
• Extra comfortable with powder-free scanning
• Powder-free scanning
• No impression materials and mess
• Never retake an impression
• High quality restoration fits and minimal grinding
• High quality clinical results
• More convenience
• Reduced number of appointments due to fewer retakes
• Reduced overall chair time

AcceleDent

AcceleDent Aura's SoftPulse Technology releases a safe and effective light force pulse that transmits through the roots of your teeth to the surrounding bone socket. This helps accelerate the cellular response and speeds the rate with which your teeth can move. When used in conjunction with orthodontics, AcceleDent Aura has been clinically proven to move teeth up to 50% faster.

LiteTouch

LiteTouch - a Er:YAG Dental Laser for treating both hard and soft tissues. Its innovative features makes it the ideal tool for performing many dental procedures. Its laser-in-handpiece, fiber-free technology directly delivers the laser energy to the target tissue, maximizing its cutting abilities.

Benefits of LiteTouch:

• Precision - conserving health tooth structure
• Ablates oral tissue in a gentle manner, layer by layer
• Bacterial effect disinfects the treated and surrounding tissues
• Enables drill free porcelain laminate removal, reducing vibration and conserving tooth structure

Picasso AMD Laser

Picasso AMD Laser - a high power laser that is used for laser whitening, a full range of soft tissue and periodontal procedures. The Picasso & Diode laser helps reduce bleeding, tooth loss, tissue damage, and receding gums by eliminating harmful bacteria and periodontal disease, reducing the need for stitches, local anesthetic, and periodontal packs.